DR. MARK ENSIO BAKER


Address: 165 N 14th Ave, Pocatello, ID 83201-4146
Phone: 2082322807

DR. MARK ENSIO BAKER (NPI# 1184798811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184798811
Entity Type Individual
Full Name DR. MARK ENSIO BAKER
Credential D.D.S.
Practice Address 165 N 14th Ave
Pocatello
ID 83201-4146
Mailing Address Po Box 6033
165 N. 14th
Pocatello
ID 83205-6033
Practice Telephone 2082322807
Practice Fax Number 2082328118
Mailing Telephone 2082322807
Mailing Fax Number 2082328118
Enumeration Date 2006-11-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
D3016 ID Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID RAILROAD 000010010306 01
ID BLUE CROSS 60806 01

Other Providers MARK BAKER

NPI Name Taxonomy Address Enumeration
1477178291 Mark Jon Baker Occupational Therapy Assistant 1 San Bruno Ave Unit G, Brisbane, CA 94005-1505 2020-06-09
1366864050 Mark Baker Nurse Practitioner 332 Glenolden Ct, Cary, NC 27513-3287 2014-01-14
1295053114 Mark David Baker Psychiatry & Neurology Neurology 1161 21st Ave South A 1106a Mcn, Nashville, TN 37232-2551 2010-05-17
1528239506 Mark Baker Psychologist 650 Sierra Madre Villa, La Vie Psychology Group, Suite 110, Pasadena, CA 91107 2008-03-18
1124182282 Mark Baker Optometrist 7600 Kingston Pike Ste 1110-a, Knoxville, TN 37919-5603 2006-12-21
1417011016 Mark Lee Baker Chiropractor 610 N Main St # 5a, Clearfield, UT 84015-3200 2006-12-20
1568558112 Mark C. Baker Dentist Thirty North Endodontics, 30 N. Michigan Avenue, #1320, Chicago, IL 60602 2006-10-04
1619088804 Mark William Baker Chiropractor 2732n Lincoln Ave, Chicago, IL 60614-7431 2006-08-31
1871536151 Mark A Baker Radiology 6957 W Plano Pkwy Ste 1100, Plano, TX 75093-1621 2006-06-14
1750382925 Mark Allen Baker Physical Therapist 1335 W Cypress Ave, Suite 100, San Dimas, CA 91773-3516 2005-08-09

Office Location

Street Address 165 N 14TH AVE
City POCATELLO
State ID
Zip Code 83201-4146

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649453275 Facial & Oral Surgery Associates, Inc. Dentist 165 N 14th Ave, Pocatello, ID 83201-4146 2007-12-05
1154495802 Brent D Lee Dentist 165 N 14th Ave, Pocatello, ID 83201-4146 2006-11-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235765330 Timothy Palmer Social Worker 400 S 11th Ave, Ste 204, Pocatello, ID 83201 2020-03-20
1225687759 Hanna Percy Nurse Practitioner 1151 Hospital Way Ste 201, Pocatello, ID 83201 2019-09-07
1659935195 Carol Jane Dillon Counselor 707 North 7th Avenue, Suite D, Pocatello, ID 83201 2019-04-30
1154801595 Mv Pocatello Ent, LLC Otolaryngology 333 N 18th Ave Ste B3, Pocatello, ID 83201 2018-08-15
1306344346 Ruth Anne Patton Social Worker 850 E Young St, Pocatello, ID 83201 2018-01-24
1598289274 Lucas Alexander Bryan Specialist/Technologist 1535 E Terry St, Pocatello, ID 83201 2017-08-03
1205365632 Geno Alan Giovanini Denturist 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 2017-06-08
1518415942 Kelli Fries-geslin Nurse Practitioner 500 South 11 Ave Suite 400, Pocatello, ID 83201 2016-09-14
1346797842 Shailyn Jenkins Specialist/Technologist 665 Warren Ave., Pocatello, ID 83201 2016-09-01
1992258149 Christopher Jared White Social Worker 300 N 7th Ave, Pocatello, ID 83201 2016-07-24
Find all providers in zip 83201

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649453275 Facial & Oral Surgery Associates, Inc. Dentist 165 N 14th Ave, Pocatello, ID 83201-4146 2007-12-05
1154495802 Brent D Lee Dentist 165 N 14th Ave, Pocatello, ID 83201-4146 2006-11-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710364427 Gates Dentistry, Pllc Dentist 2165 N. Merritt Creek Loop, Coeur D Alene, ID 83814 2015-05-01
1124433743 Arman Haghighi Dentist 403 S 11th St Ste 300, Boise, ID 83702-6968 2014-06-23
1003242769 Dewayne Laverne Briscoe Dentist 404 Fairway Loop, Sun Valley, ID 83353 2013-09-25
1013274661 Treasure Valley Oral and Facial Surgery Pllc Dentist 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 2012-04-20
1487910733 Timothy Tracy O'brien Dentist 1613 12th Ave Rd Ste A, Nampa, ID 83686-6183 2012-04-11
1023398716 Coeur D' Alene Oral Surgery Dentist 1027 E Sherman Ave, Coeur D Alene, ID 83814-4152 2011-08-25
1861645202 Michael Verlyn Dabell Dentist 1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177 2008-10-29
1295993145 Stephen W Holm Dentist 3326 4th St Ste 2, Lewiston, ID 83501-4455 2008-05-28
1376689646 Timothy Ted Hopkins Dentist 590 Falls Ave, Twin Falls, ID 83301-3314 2007-01-30
1851450498 Donald Edwin Spengler Dentist 400 S Main Street, Hailey, ID 83333 2006-12-08
Find all providers with the same taxonomy

Competitor

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City POCATELLO
Zip Code 83201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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